TY - JOUR
T1 - Exploring behaviour change in general practice consultations
T2 - A realist approach
AU - Advocat, Jenny
AU - Sturgiss, Elizabeth
AU - Ball, Lauren
AU - Williams, Lauren T.
AU - Prathivadi, Pallavi
AU - Clark, Alexander M.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The research and writing that produced this article was funded by the Global Policy Initiative, Keough School of Global Affairs, University of Notre Dame; the American Institute of Indian Studies; the WW Dissertation Fellowship in Women's Studies from the Institute for Citizens and Scholars; Fulbright-Hays; and the Committee on Southern Asian Studies and the Center for the Study of Gender and Sexuality at the University of Chicago.
Publisher Copyright:
© The Author(s) 2022.
PY - 2022
Y1 - 2022
N2 - Objectives: While general practice involves supporting patients to modify their behaviour, General Practitioners (GPs) vary in their approach to behaviour change during consultations. We aimed to identify mechanisms supporting GPs to undertake successful behaviour change in consultations for people with T2DM by exploring (a) the role of GPs in behaviour change, (b) what happens in GP consultations that supports or impedes behaviour change and (c) how context moderates the behaviour change consultation. Methods: Semi-structured interviews with academic clinicians (n = 13), GPs (n = 7) and patients with T2DM (n = 16) across Australia. Data were analysed thematically using a realist evaluation approach. Results: Perspectives about the role of GPs were highly variable, ranging from the provision of test results and information to a relational approach towards shared goals. A GP–patient relationship that includes collaboration, continuity and patient-driven care may contribute to a sense of successful change. Different patient and GP characteristics were perceived to moderate the effectiveness and experience of behaviour change consultations. Discussion: When patient factors are recognised in consultations, a relational approach becomes possible and priorities around behaviour change, that might be missed in a transactional approach, can be identified. Therefore, GP skills for engaging patients are linked to a person-centred approach.
AB - Objectives: While general practice involves supporting patients to modify their behaviour, General Practitioners (GPs) vary in their approach to behaviour change during consultations. We aimed to identify mechanisms supporting GPs to undertake successful behaviour change in consultations for people with T2DM by exploring (a) the role of GPs in behaviour change, (b) what happens in GP consultations that supports or impedes behaviour change and (c) how context moderates the behaviour change consultation. Methods: Semi-structured interviews with academic clinicians (n = 13), GPs (n = 7) and patients with T2DM (n = 16) across Australia. Data were analysed thematically using a realist evaluation approach. Results: Perspectives about the role of GPs were highly variable, ranging from the provision of test results and information to a relational approach towards shared goals. A GP–patient relationship that includes collaboration, continuity and patient-driven care may contribute to a sense of successful change. Different patient and GP characteristics were perceived to moderate the effectiveness and experience of behaviour change consultations. Discussion: When patient factors are recognised in consultations, a relational approach becomes possible and priorities around behaviour change, that might be missed in a transactional approach, can be identified. Therefore, GP skills for engaging patients are linked to a person-centred approach.
KW - Behaviour
KW - patient-centered care
KW - physicians
KW - primary care
UR - http://www.scopus.com/inward/record.url?scp=85143582184&partnerID=8YFLogxK
U2 - 10.1177/17423953221142340
DO - 10.1177/17423953221142340
M3 - Journal Article
C2 - 36445073
AN - SCOPUS:85143582184
SN - 1742-3953
JO - Chronic Illness
JF - Chronic Illness
ER -
